PROGRAM FOCUS
Phase III focuses on helping clients make the transition from reliance on the structure of the treatment environment to taking initiative and personal responsibility for their recovery. This phase is designed to increase opportunities to strengthen the recovery principles and the skills clients have learned by applying them in daily experience. Through continued practice of new, recovery-oriented ways of relating to self, to others, and to the world, positive changes in thinking and behavior gain critical traction.

PHASE III GOALS
Clients will:

• Verbalize a solid understanding of the disease of addiction (mental, emotional, physical, and spiritual dimensions) and its potential manifestations in client's life.
• Write daily in the guided journal, My First Year in Recovery.
• Attend all assigned groups and complete specified writing assignments.
• Demonstrate recovery-based behaviors and the ability to model these for other clients.
• Read and highlight Chapters Nine and Ten in the Narcotics Anonymous basic text.
• Continue to work on relationship with temporary sponsor.
• Complete Step Working Guides Six and Seven and process with counselor and temporary sponsor.
• Attend outside twelve-step meetings with sponsor.
• Exercise at Sports at least three times weekly.

Family and friends will:

• Participate in twelve-step meetings, Friday night family support groups, family sessions, and other recommended workshops, and (if they did not during Phases I and II), attend Family Renewal Program.
• Practice the plan developed during Phase I as needed to utilize, maintain, and strengthen the leverage available to the family in setting and enforcing boundaries to support the recovery process for both client and family.

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ASSESSMENT FOCUS

LVRC's comprehensive assessment of each client, which begins in Phase I and expands in Phase II, continues in Phase III. This ongoing assessment focuses on the eleven life areas below to determine the extent to which clients are functioning in these areas, which have helping or obstructing effects on a client's ability to stay abstinent and continue in the recovery process. These assessment areas are also used to develop individualized treatment plans and discharge/aftercare plans.

1. Family/Significant Others
• Quantity and quality of relationships with family members/significant others and degree to which these relationships help or hinder client's recovery process.

Knowledge of addiction and family recovery.

• Motivation and willingness to continue providing agreed upon leverage.
• Use of and involvement in recovery resources, including family support group, Family Renewal Program, workshops, lectures, and twelve-step programs.
2. Social
• Quantity and quality of social relationships and degree they help or hinder clients' recovery process.
• Strategies for strengthening healthy relationships and reconsidering, modifying, or ending unhealthy relationships.
• Strategies for establishing new supportive relationships.
3. Work
• Employment status, history, and skills.
• Transitional issues regarding returning to work.
• If applicable, the quality of relationships with employer and other coworkers.
• Interest in or necessity for vocational training.
4. Health
• Current state of health.
• Health issues that need attention or treatment, e.g., medical conditions, exercise, nutrition.
• Plan for ongoing exercise and nutrition/weight management as appropriate.
• Plan for regular check-ups with physician, dentist, and other healthcare providers.
5. Emotional
• Emotional state and degree of balance.
• Style of emotional expression.
• Areas of greatest emotional discomfort and their connections to clients' substance use.
• Ability to identify and cope with feelings and emotions.
• Remaining "secrets" in clients' emotional closet that may need to be addressed in this phase.
6. Cognitive/Thinking
• Mental health status and history, including treatment and medications.
• Cognitive/thinking style and degree of balance.
• Type and degree of hindering thoughts or patterns of thinking.
• Status of client's recovery-oriented thoughts and patterns of thinking.
• Capacity for using reading and writing resources, including recovery literature.
7. Spiritual
• Spiritual beliefs and practices.
• Current state of acceptance regarding the disease of addiction, including powerlessness and willingness to seek support.
• Capacity to use the spiritual aspects of recovery, e.g., meditation and prayer.
• Reservations or obstacles related to spirituality as a recovery-supportive resource.
8. Financial
• Current financial issues influencing recovery process.
• Financial status, stressors, and viability.
• Actions needed to stabilize client's financial situation.
9. Hobbies/Interests
• Use of down time in treatment and plans for use of free time post-treatment.
• Activities clients engage in for fun and recreation.
• Special interests and/or hobbies clients can develop to enrich the quality of life
10. Legal
• Need for a plan to resolve any pending legal issues upon discharge.
• Need for LVRC contact with probation, parole, judges, attorneys, etc.
• Need for documentation of client's completion of treatment/discharge plan.
11. Patterns of Recovery
• Degree of client's understanding of the recovery process.
• Previous recovery and related experience.
• Extent to which client's motivation for treatment and recovery is internal vs. external.
• Degree of client's demonstrated honesty, open-mindedness, and willingness.
• Specifics of how clients are working a program of recovery.
• Quality of work on Steps Four and Five.